Interdisciplinary Neurosurgery (Jun 2024)

Primary dural Lymphoma: A case report

  • IBRAHIM Al-hassana Idriss,
  • Hounkpatin Stachys,
  • Mèhomè Wilfried DOSSOU,
  • Setcheou Alexis,
  • Sieleche Christian,
  • Tankari Aboubacar,
  • Sawa Brice,
  • Jermidi Cynthia,
  • Lethongsavarn Vincent,
  • Helias Phillipe,
  • Assoumane Ibrahim,
  • Kelani Aminath,
  • Rabhi Mohammed,
  • Sanoussi Samuila,
  • Do Laurent

Journal volume & issue
Vol. 36
p. 101965

Abstract

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Backgroung: Primary dural lymphoma is a very rare pathology arising from the dura mater. its clinical and radiological presentation is often similar to a meningioma. Treatment typically involves surgery followed by adjuvant radiotherapy/chemotherapy. Fewer than twenty cases have been described in the literature. Case presentation: A 73-year-old woman with a medical history of hypertension, type 2 diabetes, and dyslipidemia presented with progressive right hemiparesis. Following diagnostic evaluation, a left fronto-temporal meningioma was initially diagnosed. Complete macroscopic excision was made and the immunohistochemical showed a follicular B lymphoma according. the patient had radiotherapy and chemotherapy sessions. Follow-up at 18 months was unremarkable. Conclusion: Primary dural lymphoma is an exceptionally rare pathology, often mimicking the radiological appearance of a meningioma. The management relies on complete tumor excision, along with a combination of radiotherapy and chemotherapy. When administered appropriately, this treatment approach offers a favorable prognosis for patients.

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